Sedighimehr Najmeh, Manshadi Farideh Dehghan, Shokouhi Nasim, Baghban Alireza Akbarzadeh
Physiotherapy Research Centre, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Yas University Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Bodyw Mov Ther. 2018 Jan;22(1):92-96. doi: 10.1016/j.jbmt.2017.05.001. Epub 2017 May 3.
This study aimed to compare the prevalence of pelvic musculoskeletal dysfunctions in women with and without Chronic Pelvic Pain (CPP).
MATERIALS &METHODS: A total of 84 women with and without CPP (42 in each group), participated in this cross-sectional analytical study. After collecting demographic information, clinical examinations were carried out to compare pelvic musculoskeletal dysfunctions between two groups. Kolmogorov-Smirnov (K-S) goodness-of-fit, Independent t, X and Pearson correlation tests were used for data analysis. Values of p < 0.05 were considered statistically significant.
Significant differences were found in the asymmetric iliac crest and pubic symphysis height (45.2% vs 9.5%), positive sacroiliac provocation and positive Carnett's tests (50% vs 4.8%), (p < 0.05). CPP Patients exhibited more tenderness at Levator ani, Piriformis, and Obturator Internus muscles, also higher degrees of pelvic inclination (p < 0.05).
Higher frequency of pelvic musculoskeletal dysfunctions in women with CPP suggests the value of routine musculoskeletal examinations for earlier diagnosis of musculoskeletal originated CPP and effective management of these patients.
本研究旨在比较患有和未患有慢性盆腔疼痛（CPP）的女性骨盆肌肉骨骼功能障碍的患病率。
共有84名患有和未患有CPP的女性（每组42名）参与了这项横断面分析研究。收集人口统计学信息后，进行临床检查以比较两组之间的骨盆肌肉骨骼功能障碍。采用柯尔莫哥洛夫-斯米尔诺夫（K-S）拟合优度检验、独立样本t检验、卡方检验和皮尔逊相关检验进行数据分析。p值<0.05被认为具有统计学意义。
在髂嵴不对称和耻骨联合高度方面发现显著差异（45.2%对9.5%），骶髂关节激发试验阳性和卡内特试验阳性方面也有显著差异（50%对4.8%），（p<0.05）。CPP患者在肛提肌、梨状肌和闭孔内肌处压痛更明显，骨盆倾斜度也更高（p<0.05）。
患有CPP的女性骨盆肌肉骨骼功能障碍的发生率较高，这表明常规肌肉骨骼检查对于早期诊断肌肉骨骼源性CPP以及对这些患者进行有效管理具有重要价值。
